HomeMy WebLinkAbout23407-zFORM NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OC~umANC¥
No Z-24717
Date OCTOBER 29, 1996
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Propert~ 1200 LEETON DRIVE SOUTHOLD, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 59 Block 1 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 22, 1996 pursuant to which
Building Permit No. 23407-E dated MAY 2, 1996
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ACCESSORY STORAGE SHED ADDITION TO EXISTING ONE FAMILY
The certificate is issued to
DWELLING AS APPLIED FOR.
JAMES T. &MARGARET MOLLOY
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
Building Ins~tor
FORM NO.3
TOWN OF SOUTH'OLD
BUILDIN~ DEPARTMENT
SOUTHOI.D, N.Y.
N~
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
23407 Z
Count/Tax Map No. ~OO0 Section ............ ~. B~ock ......... l ............. Lot No....~ ....................
pursuant to application dated .................. - .......................... ~19 ~,~ ,
and approved by the
Building Inspector.
Fee S....Z'..~.... ~
Rev. 6/30/80
Building Inspector ~//
Form No. 6 ~ L i~ ~ ~ ·
[ TOWN OF SOUTh,lO .D ~
~PLICATION FOR CERTIFICATE 0F 0CCUPA~CY
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'!pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinz - $100.00
3. Copy of Certificate of Occupancy - , .25¢
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
ate .. ....................
New Construction .... ~. ..... Old Or Pre-existing Building .................
Location of Property .... ~'.~.~ .... ~'~U~l#... ~/-f~, ~.'.?.% .............
House No. Street Hamlet
Onwer or Owners of Property... *~..~'./~. ¢~,. '..7~.,...~..~.t;.~.)? ,~,..~../~, ..............................
Subdivision .................................... Filed Map ............ Lot ......................
/
Permit No.~_.~?..~....Date~ Of -t ................ Applicant .......
Health Dept Approval Underwriters Approval ..........
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate .......
Fee Submitted: ~. ~. '..~.'~.. ....................
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 9, 1996
James T. Malloy
26 Tremont St.
Garden City, N.Y.
11530
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is ,
not on file. (Enclosed)
No Underwriters Certificate on file.
XX The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 23407-Z
Please contact our office on this matter.
cooperation.
Thank you for
$OUTHOLD TOWN BUILDING DEPT.
I-(HIIII)t~ I' I 011 (Il;T)
UA I I:.
............ , I;01 II I1':11 ! Ii
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Z
0
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ! INS~~i~
[ ] FRAMING [~.~'tNAL
[ ] FIREPLACE & CHIMNEY
REMARK~ I,~~~'
DATE/~//~~ INSPEC~
BLDG. DEPT.
llU IL1HNG DEPAR'~IEHT
SOIITIR}LI), ~.Y. 11971
TEl.: 765-1802
IIOARI) OF IIEALTII ...............
~URVEY
CIIECK .........................
.... -T.OWN, OF $OUTH~OLD
.... .. /
. A~ ][ON FOR BUll.DING
]NSTRUCT IONS
HAll. TO: ....................
Date ........... , 19.
a. 'lhls al~plicati~ mint I~ co,t)lel.ely filled in by tylx~mlter or in ink ar~l .mfl~nitted'to tl~e ~filding lns~ctor with
3 ~ts of plans, accurate plot i)lau to ~cale. F~ accor(li~ Lo sale.lute.
b. PInE plan ~K~il~. l(~ati¢~t of Iol. m~ of I~fil(llt~s (m pr~nises, relal'lo, mldp I'o mljoinlng
streets or areas, taxi 8ivhl~ a ~tail~l <~scril)tim~ o[ la~all: o[ pml~rty .=mt I~ drmm ~ the dla~m ~id~ irs Imrt of
this nl~licat i~.
c. '11~ ~[k c~r~ by thi~ al~licatitm p~ s~)t Im c(m~e~m~l I~fore isstmme of l~]ilding Pem{t.
d. UI~] al~al o[ this al~)lJeatlm~, the lkfil(l{n8 Insl~etor will ism~ a tkfihllng Pemit to the applicant. ~d~
[~mlt shall 1~ kept ~l tl~ pr~i~o available For insl~cti(~ thr(a~m~t the
e. ~ lafil(li~ ~lall I~ (m(xq)i~l or n,ed in O~ole or in Imrt for auy ¢~rlx)se ~mt~er until a
(~(~bm~y atoll have I~n [~m~t~l I~ IJ~ Ihdlding hml~ctor.
, ~t~,l(~'l'l~ lS I~I~[IIY }~E tu tl~ IkHldi[B I~l~rbmnt Lot the ismm~me of a b]ihllng Permit wrmm. t to the
l~ifdi~ 7~ Onli~e of tim 'l~m o~ &~tlmld, &~ffolk C~mty, ~4 York, a*~l other applicable
~gdlati~m, Lot tl~ mmtnrtt*] of Ndhlins~, mkltti(ms or alteratitms, or for m~al or domlltlon, as I~rein
(~scril~l. 'I1~ apptieaat agr~s to co~t~ly with all alq)l icable l~s, ordhm~mes, I~filding
re~datiees, md to ~bdt m~tlmri~l iaM~ct.orfi ~ pr~nlse* m~ in bfilding for [~cesmry
..............
~ml:ure of applicant, or m~,/if a eor~rati~0
SLate Omtlmr al~}licant is ~r, lense, ageat, architect, engi~mr, get.rat coatracLor, eleetr[eiaa, l)lt~Imr or I~il(ler.
1[ al~)licant ia a corlx)ratlc~), si§nature o[ duly antl~)ri~d nf[icer.
(H~.e mv.J Lille o£ co, ix)rate oEflcer)
Ikmse [~d)er Street llan] et
~.,,,ty ~'.~mp ~o. ,ooo ~.ee .W.~.O. ...... ,.,~:k .... ~.J ........ ,~ ...~.9. J ......
~d~llvislon ...................................... Fil~l F~]p ~) ................ lot ...............
a. .... ..... .................................
1.
IlL
II.
I~.
I).
14,
I~lmir ............ I~u[ ............. I~mliLlo. ............ Olher ~nk ~..~ ..............
I~H. ,,~ted (~st: , ~ fee ...4 ...........
I~plh .................... I~il~lt .................... ~lm~ o~ 81orl~n ...... ! .........
~,,x~ of CxmC~nclor ................................... ~kh-ens ............... ~ ............... lTm~ ~) ............
I)l,OT I) 1 ^Gll^H
Iix:ere clearly taxi dleth'~:Liy all Ixllhlh~le, ~Jmlher exlsl:lnB or prOlX)m~d, mil
~dmthur {titot'ior Or corl~F lot.,
USEUNLAWFUL
OF OCCUP^NCY
I;I'^'IE iXr Nt','M Yt)~tK,
...................
hxlleet:e troll set-lmck dl,enelone
taxi ~{io~ ,treet tu,,e, taxi hxlicele
1. FOUNDATION ' TWO REQUIRED
FOR IPOURED cONCRETE
2. ROUGH ' FRAMING & PLUMBT14G
3, INSerTION
4. FINAL - CONSTRUCTION MUST
BE ¢oMPL~E FOR C.G.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATEi CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESlG~ OR ~NSTRU~I~ ERRORS
duly l~[n, delXme, im.I ..y. th.e Im i~ the epldlCtmt
Ik! il~ the ............................................................ ~ ......................... ({x:,~t~ t r, nl;ent, rorlx}rute ol'rlcer, et:e.)
I lint. the ~)~k viii I~ I~rl:otn~l In the ii~llit~ fl~t I'o~lh in tilt nupllc.l:io,~ I'Jled th~r~ll.h.